| Entity Name: | TANNER - MARTINEZ CHIROPRACTIC, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 May 2012 (13 years ago) |
| Date of dissolution: | 27 Jul 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Jul 2016 (9 years ago) |
| Document Number: | L12000059800 |
| FEI/EIN Number | 45-5321496 |
| Address: | 2200 N. PONCE DE LEON BLVD. SUITE #1, ST. AUGUSTINE, FL 32084 |
| Mail Address: | 2200 N. PONCE DE LEON BLVD. SUITE #1, ST. AUGUSTINE, FL 32084 |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780944462 | 2012-05-29 | 2012-05-29 | 2200 N PONCE DE LEON BLVD, SUITE 1, ST AUGUSTINE, FL, 320842600, US | 2200 N PONCE DE LEON BLVD, SUITE 1, ST AUGUSTINE, FL, 320842600, US | |||||||||||||||||||||||||||
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| Phone | +1 904-819-9110 |
| Fax | 9048199310 |
Authorized person
| Name | DR. DUSTIN JAMES TANNER |
| Role | DOCTOR |
| Phone | 9048199110 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10578 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 111NI0013X - Independent Medical Examiner Chiropractor |
| License Number | CH10578 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TANNER, DR. DUSTIN D.C. | Agent | 2200 N. PONCE DE LEON BLVD, SUITE #1, ST. AUGUSTINE, FL 32084 |
| Name | Role | Address |
|---|---|---|
| TANNER, DR. DUSTIN D.C. | Manager | 2200 N. PONCE DE LEON BLVD. SUITE #1, ST. AUGUSTINE, FL 32084 |
| MARTINEZ-NAVARRO, DR. MARIELLA D.C. | Manager | 2200 N. PONCE DE LEON BLVD. SUITE #1, ST. AUGUSTINE, FL 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-07-27 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-07-27 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-09 |
| Florida Limited Liability | 2012-05-02 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
